Black, Elizabeth Jean
Black, Elizabeth Jean is an individual health care provider with primary practice located at 142 Brighton Lake Rd , Brighton MI 48116-1738. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Black, Elizabeth Jean can be contacted via phone (810) 844-1476.Contact Information
Primary practice address
142 Brighton Lake Rd
Brighton MI 48116-1738
Phone: (810) 844-1476
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L1108729 | Michigan |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 6801089051 | Michigan |
Profile Details
NPI number | 1184805715 |
---|---|
LBN Legal business name | Black, Elizabeth Jean |
Credentials | M.S.W. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 26th, 2007 |
Last updated | Dec 7th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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